Expression and localization of FRMD7 in human fetal brain, and a role for F-actin

Purpose FERM domain containing 7 (FRMD7) is a member of the four-point-one, ezrin, radixin, moesin (FERM) family of proteins, and has been reported to cause X-linked idiopathic congenital nystagmus (ICN), a disease which affects ocular motor control. There have been over 30 mutations reported for FRMD7, however, their role in the pathogenesis of ICN remains unclear. The purpose of this study is to perform the expression distributes of protein FRMD7 from human fetal brain during development and to understand the relationship with cytoskeletal protein F-actin between wild-type and mutation-type FRMD7. Methods Expression of protein FRMD7 from developing human fetal brain was tested by immunohistochemistry. Enhanced green fluorescent protein (EGFP)-tagged recombinant plasmids DNA encoding the normal or mutant FRMD7 were used to transiently transfect the mouse neuroblastoma cells (Neuro-2a) and human embryonic kidney 293 cells (HEK293T). Further, confocal microscopic analysis was used to determine the subcellular localization of the fusion proteins. To visualize F-actin, fixed HEK293T cells were stained with rhodamine-phalloidin. Results We show that expression of FRMD7 was mainly detected in the brainstem (a region associated with ocular motor control), while limited level was observed in the cortex. The COOH-terminus of FRMD7 was found to play a key role in the subcellular localization of FRMD7 in mouse neuroblastoma cells (Neuro-2a) and human embryonic kidney 293 cells (HEK293T). While no differences in the co-localization of F-actin between the wild-type and missense mutation-type (c.781C>G and c.886G>C) proteins was observed, an additional mutant, c.1003C>T, which results in a COOH-terminally truncated protein, exhibited a nuclear localization pattern which did not co-localize with the cytoplasmic distribution of F-actin. Conclusions The results of the present study indicate that FRMD7 may play an important role in the brainstem in the early stages of development of the human fetal brain, and provides clues for the mechanism of mutation FRMD7, which may be involved in influencing F-actin dynamics.

Idiopathic congenital nystagmus (ICN) is an oculomotor disorder that results from defects in the regions of the brain responsible for ocular motor control. This disorder is characterized by involuntary bilateral ocular pendular oscillations that occur within six months of birth, and can be sustained over a lifetime. As a result, patients with ICN experience a significant decrease in their quality of life [1]. Currently, the incidence of ICN is estimated to be 24 cases/ 10,000, and there is no effective treatment available [2].
Eye movement is controlled by some brain regions, such as the cortex, brainstem, and cerebellum [12,13]. In situ hybridization studies have shown that FRMD7 mRNA is mainly expressed in the cortex plate at the early fetal cortex in humans, and at the brain cortex in mice [14,15]. For example, an evaluation of five developmental stages of the human embryonic brain (including Carnegie stages 15,16,19,22, and 23), as well as two developmental stages of the human fetal brain (9-and 14-weeks post-conception [wpc]), identified strong hybridization signals associated with the cortex [14]. There are other regions of the brain that also affect eyeball movement, however, expression of FRMD7 has not been characterized in those areas.
When FRMD7 was knocked down in Neuro-2a cells, altered development of neurites was observed during retinoic acid-induced differentiation [14]. A notable increase in the dynamics of F-actin and F-actin/G-actin were also observed when FRMD7 was down-regulated in Neuro-2a cells [14]. Therefore, it has been postulated that FRMD7 regulates neuronal development by influencing the dynamics of F-actin. However, the precise function of FRMD7, and in particular its involvement in ICN pathogenesis, remain incompletely characterized. Therefore, in the present study, the expression and localization of FRMD7 was investigated in the developing human fetal brain. These studies included both wild-type FRMD7, and three mutated versions of FRMD7, which elucidated a role for F-actin in the effects of FRMD7.

Study protocol:
The study protocol was approved by the Department of Medicine of the Second Affiliated Hospital, Zhejiang University (Hangzhou, Zhejiang Province, China). Written informed consent was also obtained from all mothers participating in the study. All samples were obtained and used in a manner compliant with the Code of Ethics of the World Medical Association (Declaration of Helsinki). Preparation of human tissue: Human fetal brains at stages [16][17]21, and 25 wpc were collected from the Department of Medicine, Second Affiliated Hospital, Zhejiang University. Fresh human fetal brain tissues were fixed in 10% formalin (pH 7.2) for 24 h at room temperature (RT) before analysis. Immunohistochemistry: Expression and localization of FRMD7 was detected using a MaxVision TM Horseradish Peroxidase-Polymer Anti-Rabbit IHC Kit (KIT-5004; Maixin-Bio, Fujian, China) according to the manufacturer's protocol. After fixing and embedding brain samples in paraffin, 4 µm sections were cut, placed on poly-L-lysinecoated slides, and dried for 1 h at 60 °C. Brain sections were then deparaffinized using three changes of xylene separately for 10, 5, and 3 min intervals, followed by hydration in 100%, 95%, and 75% ethyl alcohol (two changes of 3 min each). Antigen retrieval was performed by microwaving sections at 98 °C in EDTA buffer (pH 7.4) for 15 min, then cooling the samples to room temperature (RT). Tissues were incubated in 3% hydrogen peroxide solution for 10 min at RT, then blocked with goat serum for 10 min. Sections were placed in a damp box for incubation with primary anti-FRMD7 antibodies (1:200 dilution; polyclonal rabbit anti-human antibody; HPA000886; Sigma-Aldrich, St Louis, MO) for 1 h at RT. Sections were incubated with secondary antibody (goat antirabbit; Maixin-Bio) at for 30 min at RT. After washing with 1× TBS, sections were incubated with DAB for 5 min. Negative controls were stained with rabbit normal serum instead of primary antibodies. An Olympus microscope was used for imaging (Olympus BX60; Olympus, Tokyo, Japan).

Reverse transcription-polymerase chain reaction (RT-PCR):
Total RNA (5 µg) was reverse transcribed using oligo dT using a reverse transcriptase from the NTera-2cell line. For PCR amplification, specific oligonucleotide primer pairs (10 pmol each) were incubated with 2 µl cDNA template in 25 µl PCR reaction mixtures containing 2.5 µl 10× PCR buffer, 1.5 mM MgSO4, mixed deoxynucleotides (1 mM each), and 0.5 U KOD PLUS (TOYOBO, Osaka, Japan) polymerase. The sequences of the primers used are provided Table 1. For amplification of full-length FRMD7, PCR reactions included: 35 cycles at 94 °C for 2 min; 98 °C for 15 s; 58 °C for 40 s; 68 °C for 2 min 20 s; and a final extension step at 68 °C for 7 min. For the different domains, dilutions of cDNAs were amplified for 35 cycles at 94 °C for 2 min, 98 °C for 15 s, 60 °C for 40 s, and 68 °C for 1 min 20 s. Amplified PCR products were analyzed by 1% agarose gel electrophoresis, and β-actin (ACTB) mRNA served as the internal standard. FRMD7 mutations included c.781C>G, c.886G>C and c. 1003C>T [8], which were produced using overlap PCR ( Table  1).

Construction of plasmids:
Each PCR product was confirmed by subcloning the amplified cDNAs into the pGEM-T Easy Vector System (Promega, Madison, WI) for sequencing. Fulllength FRMD7 cDNA, as well as a 1,308 bp fragment encoding the ∆FERM domain of FRMD7 (amino acids [aa] 280-714) and a 1,137 bp fragment encoding the ∆FERM+FA

Expression of FRMD7 in the human fetal brain:
Expression of the nystagmus-related FRMD7 protein was examined during three stages of human fetal development (16)(17)21, and 25 wpc) and in five different regions (cortex, brainstem, hippocampus, cerebellum, and diencephalons) for each stage. At 16-17 wpc, FRMD7 was observed to be highly expressed in the pons, medulla oblongata, and midbrain (brainstem; Figure 1A-F), which are important regions associated with ocular motor control. FRMD7 was also observed in the cerebellar region and diencephalons at 16-17 wpc. During the later stages of fetal development (i.e., 21 and 25 wpc), overall expression of FRMD7 was found to significantly decrease in the brainstem, and from the cortex, limited expression was manifested in the cortex plate ( Figure 1G-L).

Subcellular localization of various forms of FRMD7 in HEK293T and Neuro-2a cells:
To better understand the function of FRMD7, HEK293T and Neuro-2a cells were transiently transfected with various EGFP-tagged fragments of FRMD7. In these experiments, full-length FRMD7 was found to be uniformly distributed in the cytoplasm. In contrast, when various regions of FRMD7 were overexpressed, only the COOH-terminal regions of FRMD7 (∆FERM and ∆FERM+FA) resulted in a distribution pattern that was similar to that of full-length FRMD7. However, for these modified FRMD7 proteins, the expression levels were lower, and some aggregates were observed in the cytoplasm. For FRMD7 constructs containing only the NH2-terminal FERM domain (aa 1-279) of FRMD7, or a combination of the FERM domain and the FA domain (adjacent to the FERM domain; aa 294-336), a predominantly nuclear distribution was observed ( Figure 2).

Role of F-actin dynamics:
It is hypothesized that FRMD7 regulates neuronal development by influencing F-actin dynamics. Therefore, EGFP-tagged mutated versions of FRMD7 were transiently transfected into HEK293T cells and these cells were stained with TRITC rhodamine-phalloidin to detect F-actin. In these experiments, both wild-type FRMD7 and c.781C>G and c.886G>C FRMD7 mutants exhibited a diffuse distribution in the cytoplasm, and also in actin-rich regions. However, another FRMD7 mutant, c.1003C>T, exhibited changes in its subcellular distribution pattern and did not co-localize with F-actin ( Figure 3).

DISCUSSION
FRMD7 is related to the X-linked ICN. FRMD7 mRNA has recently been shown to have a temporal and spatial expression pattern in the cerebral cortex in the developing human embryonic brain and early fetal brain. However, the expression pattern in other brain regions also related to eyeball movement and in later development stages of human fetal brain were not known. In the present study, expression of FRMD7 was detected during three different stages of human fetal development and in five specific regions of the brain. From these experiments, it was observed that expression of FRMD7 is not restricted to the cortex, since at 16-17 wpc, FRMD7 is highly expressed in the pons, medulla and oblongata. Moreover, moderate expression of FRMD7 was detected in the cerebellar region and diencephalons. The highest levels of expression that were detected correlate with regions of the brain associated with ocular motor control. In the cortex, limited expression of FRMD7 in the cortex plate was also observed, which suggests a role for FRMD7 in the brainstem. Furthermore, in the later stages of fetal development (e.g., 21 and 25 wpc), overall expression of FRMD7 was significantly lower in the brainstem and cortex. Therefore, since expression of FRMD7 was not detected in the cerebellar region and diencephalons in the later stages of development, we hypothesize that FRMD7 mainly affects the brainstem during early development of the fetal brain.
FRMD7 is a member of the FERM family of proteins, and for a subset of these proteins, subcellular distribution has been shown to be critical for their function (e.g., merlin, moesin, and FAK) [16,17]. Studies have also shown that the subcellular localization of most FERM family proteins is not dependent on the NH2-terminal FERM domain, but rather on the COOH-terminal domains of FRMD7 [17]. Correspondingly, in this study, only constructs containing the COOH-terminal FERM domain (e.g., ∆FERM and ∆FERM +FA) produced an expression pattern similar to that of fulllength FRMD7, while proteins lacking the COOH-terminal domain, yet maintaining the NH2-terminal FERM domain, or containing the FERM and FA domains, exhibited a primarily nuclear distribution. In combination, these data suggest that the COOH-terminus of FRMD7 plays a significant role in determining the subcellular localization of FRMD7.
When FRMD7 was knocked down in Neuro-2a cells, a significant reduction in the overall length of neurites was detected, along with an increase in levels of F-actin and changes in the dynamics between F-actin and G-actin [14]. Based on these results, a unique role for FRMD7 in association with F-actin was identified. However, the role of FRMD7 mutations in ICN is incompletely understood. Of the mutation sites identified, most are localized in the NH2terminal FERM domain of FRMD7. However, it is unclear how mutations present in different domains eventually lead to the same disease. We previously reported two missense mutations, c.781C>G and c.886G>C, which lead to an arginine in the protein 261 loci being substituted for glycine (p.R261G), and glycine in the protein 296 loci being substituted for arginine (p.G296R), respectively. A nonsense mutation (c.1003C>T) was also identified, which results in the arginine of the protein 335 loci to be substituted for a stop codon (p.R335X) [8]. Therefore, in this study, rhodaminephalloidin staining was used to further characterize the role of F-actin in relation to these three mutations. In HEK293T cells, both wild-type and c.781C>G and c.886G>C mutants were observed to co-localize with F-actin. However, the c. 1003C>T mutant of FRMD7 (which produces a COOHterminal truncated protein), did not co-localize with F-actin. These findings suggest that FRMD7 may mediate regulation of the cytoskeleton. Although the c.781C>G and c.886G>C mutations did not alter the co-localization of FRMD7 and Factin, the FERM domain has previously been associated with regulation of the cytoskeleton. Moreover, the role for FRMD7 in neuronal development is similar to that of other FERM family proteins, particularly FARP1 and FARP2 [11,18,19], where their regulation of the cytoskeleton is mediated by the activation of small GTPases. Therefore, the role of FRMD7 in neuronal development may involve the cytoskeleton.
In summary, the present study demonstrates that FRMD7 is mainly expressed in the brainstem during the early stages of development of the human fetal brain. The subcellular localization of FRMD7 is also shown to be dependent on COOH-terminal regions of FRMD7, as well as the type of mutation(s) present (e.g., location of the mutant or protein truncation). For the c.1003C>T mutant of FRMD7, truncation of the COOH-terminus of FRMD7 alters the relationship between F-actin and FRMD7. Overall, these findings indicate that additional studies are needed to investigate the function and mechanism of FRMD7 in neuronal development, particularly as it relates to the pathogenesis of ICN.